Provider Demographics
NPI:1649281528
Name:STASIOR, GEORGE O (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:O
Last Name:STASIOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:930 ALBANY SHAKER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-6412
Mailing Address - Country:US
Mailing Address - Phone:518-220-1400
Mailing Address - Fax:518-220-1404
Practice Address - Street 1:930 ALBANY SHAKER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-6412
Practice Address - Country:US
Practice Address - Phone:518-220-1400
Practice Address - Fax:518-220-1404
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2013-12-05
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Provider Licenses
StateLicense IDTaxonomies
NY169776207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology